Table of Changes- Form
Form I-751, Petitions to Remove Conditions on Residence
OMB No. 1615-0038
January 9, 2013
Reason for Revision: The current Form I-751 is expiring and has not been updated for some time. The revised form package was updated to improve readability and to make the form easier to understand and complete by USCIS customers.
Page No. |
Current Text |
Proposed Text
|
Page 1
|
To be completed by Attorney or Representative, if any
Fill in box if Form G-28 is attached to represent the applicant
ATTY State License # |
To be completed by an Attorney or BIA –accredited Representative, if any
Check the box if Form G-28 is attached to represent the petitioner
Attorney State License Number
|
Page 1, Part 1. Information About You
|
Part 1. Information About You
Family Name (Last Name) Given Name (First Name) Full Middle Name
[See below, Part 3. Additional Information About You, Item Number 1]
Address (Street Number and Name) Apt. # C/O: (In care of) City State/Province Country Zip/Postal Code
Mailing Address, if different than above (Street Number and Name) Apt. # C/O: (In care of) City State/Province Country Zip/Postal Code
Date of Birth (mm/dd/yyyy) Country of Birth Country of Citizenship Alien Registration Number (A-Number) Social Security # (if any)
Conditional Residence Expires on (mm/dd/yyyy)
Daytime Phone # (Area/Country Code)
[See below, Part 3. Additional Information About You, Item Numbers 2-4]
[See above, after SSN]
[See above, Address]
[See above, Mailing Address]
[See below, Part 3. Additional Information About You, Item Numbers 5-10]
|
Part 1. Information About You, the Conditional Resident
1.a. Family Name (Last Name) 1.b. Given Name (First Name) 1.c. Middle Name
Other Names Used (including maiden name) [new sub-section heading] 2.a. Family Name (Last Name) 2.b. Given Name (First Name) 2.c. Middle Name
3.a. Family Name (Last Name) 3.b. Given Name (First Name) 3.c. Middle Name
[See sub-section below, Physical Address]
[See sub-section below, Mailing Address]
Other Information [new sub-section heading] 4. Date of Birth (mm/dd/yyyy) 5. Country of Birth 6. Country of Citizenship 7. Alien Registration Number (A-number) 8. U.S. Social Security Number (if any)
[See below, Item Number 15]
Contact Information [new sub-section heading] 9. Daytime Phone Number 10. E-Mail Address (if any)
Marital Status[new sub-section heading] 11. Marital Status Married Legally Separated Single Divorced Widowed
12. Date of Marriage (mm/dd/yyyy) 13. Place of Marriage 14. If the marriage through which you gained conditional residence has ended, give the date it ended (date of divorce or date of death) (mm/dd/yyyy)
15. Conditional Residence Expires On (mm/dd/yyyy)
Physical Address [new sub-section heading] 16.a. In Care Of Name 16.b. Street Number and Name 16.c. Apt__ Ste.__ Flr__ 16.d. City or Town 16.e. State 16.f. Zip Code
Mailing Address (If different than Physical Address) [new sub-section heading] 17.a. In Care Of Name (if applicable) 17.b. Street Number and Name 17.c. Apt __ Ste.__ Flr __ 17.e. State 17.f. Zip Code
Additional Information About You
18. Are you in removal, deportation, or rescission proceedings? (insert check boxes)
19. Was a fee paid to anyone other than an attorney in connection with this petition?
20. Have you ever been arrested, detained, charged, indicted, fined or imprisoned for breaking or violating any law or ordinance (excluding traffic regulations), or committed any crime for which you were not arrested in the United States or abroad? (insert check boxes)
21. If you are married, is this a different marriage than the one through which conditional residence status was obtained? (insert check boxes)
22. Have you resided at any other address since you became a permanent resident? (If Yes, attach a list of all addresses and dates) (insert check boxes)
23. Is your spouse or parent's spouse currently serving with or employed by the U.S. Government and serving outside the United States?
If you answered "Yes" to Item Number 20., provide a detailed explanation on a separate sheet of paper and refer to the section entitled "What Initial Evidence Is Required?" to determine what criminal history document to include with your petition.
|
Page 1, Part 2. Basis for Petition
|
(Check one)
a. My conditional residence is based on my marriage to a U.S. citizen or permanent resident we are filing this petition together.
b. I am a child who entered as a conditional permanent resident, and I am unable to be included in a joint petition filed by my parent(s).
OR
My conditional residence is based on my marriage to a U.S. citizen or permanent resident, I am unable to file a joint petition, and I request a waiver because: (Check one)
c. My spouse is deceased.
d. I entered the marriage in good faith, but the marriage was terminated through divorce or annulment.
e. I am a conditional resident spouse who entered the marriage in good faith, and, during the marriage, I was battered by, or was the subject of extreme cruelty, by my U.S. citizen or permanent resident spouse or parent.
f. I am a conditional resident child who was battered by, or was subjected to extreme cruelty, by my U.S. citizen or conditional resident paren(s).
g. The termination of my status and removal from the United States would result in an extreme hardship.
|
Page 2, Part 2. Basis for Petition
Joint Filing
My conditional residence is based on my marriage or my parent’s marriage to a U.S. citizen or permanent resident and I am filing this joint petition together with:
1.b. My parent’s spouse because I am unable to be included in a joint petition filed by my parent and my parent’s spouse.
OR (check all that apply)
Waiver Request Filing My conditional residence is based on my marriage or my parent’s marriage to a U.S. citizen or permanent resident; I am unable to file a joint petition with my spouse or my parent’s spouse and I request a hardship waiver because:
1.c. My spouse or my parent’s spouse is deceased.
1.d. I or my parent entered the marriage in good faith, but the marriage was terminated through divorce or annulment.
1.e. I entered the marriage in good faith, and, during the marriage, I was battered, or was the subject of extreme cruelty, by my U.S. citizen or permanent resident spouse.
1.f. My parent entered the marriage in good faith and, during the marriage, I was battered, or was subjected to extreme cruelty, by my parent’s U.S. citizen or permanent resident spouse or by my conditional resident parent.
1.g. The termination of my status and removal from the United States would result in an extreme hardship.
|
Page 2, Part 3. Additional Information About You
|
1. Other Names Used (including Maiden Name
2. Date of Marriage
3. Place of Marriage
4. If your spouse is deceased, give the date of death (mm/dd/yyyy)
5. Are you in removal, deportation, or rescission proceedings? Yes No
6. Was a fee paid to anyone other than an attorney in connection with this petition? Yes No
7 Have you ever been arrested, detained, charged, indicted, fined or imprisoned for breaking or violating any law or ordinance (excluding traffic regulations), or committed any crime for which you were not arrested in the United States or abroad? Yes No
8. If you are married, is this a different marriage than the one through which conditional residence status was obtained? (insert check boxes) Yes No
9. Have you resided at any other address since you became a permanent resident? (If Yes, attach a list of all addresses and dates) (insert check boxes) Yes No
10. Is your spouse or parent's spouse currently serving with or employed by the U.S. Government and serving outside the United States?
If you answered "Yes" to any of the above, provide a detailed explanation on a separate sheet of paper and refer to "What Initial Evidence Is Required?" to determine what criminal history document to include with your petition. Place your name and A-Number at the top of each sheet and give the number of the item that refers to your response.
|
[Information relocated to Part 1. Information About You, Item Numbers 2.a.-3.c, 12.-14., and 18.-23.]
|
Page 2, Part 4. Information About the Spouse or Parent Through Whom You Gained Your Conditional Residence |
Family Name First Name Middle Name
Address
Date of Birth (mm/dd/yyyy) Social Security # (if any) A-Number (if any)
[See above, Address] |
Page 3, Part 3. Information About the Petitioning Spouse or, If Filing as a Child Separately, Information About the U.S. Citizen or LPR Stepparent through Whom You Gained Your Conditional Residence
Relationship 1.a. Spouse or Former Spouse
1.b. Parent's Spouse or Parent's Former Spouse
2.a. Family Name (Last Name) 2.b. Given Name (First Name) 2.c. Middle Name
[See below, Item Numbers 6.a.-6.h.]
3. Date of Birth (mm/dd/yyyy) 4. U.S. Social Security Number (if any) 5. Alien Registration Number (A-number)
6.a Street Number and Name 6.b. Apt Ste. Flr 6.c. City or Town 6.d. State 6.e. Zip Code 6.f. Postal Code 6.g. Province 6.h. Country
|
Page 2, Part 5. Information About Your Children
|
List All Your Children (Attach other sheets if necessary)
Name (First/Middle/Last)
Date of Birth (mm/dd/yyyy) A-Number (if any)
If in U.S., give address/immigration status
Living with you? Yes No
Name (First/Middle/Last)
Date of Birth (mm/dd/yyyy) A-Number (if any)
If in U.S., give address/immigration status
Living with you? Yes No
Name (First/Middle/Last)
Date of Birth (mm/dd/yyyy) A-Number (if any)
If in U.S., give address/immigration status
Living with you? Yes No
Name (First/Middle/Last)
Date of Birth (mm/dd/yyyy) A-Number (if any)
If in U.S., give address/immigration status
Living with you? Yes No
Name (First/Middle/Last)
Date of Birth (mm/dd/yyyy) A-Number (if any)
If in U.S., give address/immigration status
Living with you? Yes No
|
Page 3 Part 4. Information About Your Children
List All Your Children (Attach other sheets if necessary)
Child 1 [new sub-section heading] 1.a. Family Name (Last Name) 1.b. Given Name (First Name) 1.c. Middle Name
2. Date of Birth (mm/dd/yyyy) 3. Alien Registration Number (A-number) (if any)
4.a Street Number and Name 4.b. Apt __ Ste. __ Flr __ 4.c. City or Town 4.d. State or Province 4.e. Zip Code or Postal Code
5. Is child living with you? 6. Is this child applying with you?
Child 2[new sub-section heading] 7.a. Family Name (Last Name) 7.b. Given Name (First Name) 7.c. Middle Name
8. Date of Birth (mm/dd/yyyy) 9. Alien Registration Number (A-number) (if any)
10.a Street Number and Name 10.b. Apt __ Ste.__ Flr __ 10.c. City or Town 10.d. State or Province 10.e. Zip Code or Postal Code
11. Is child living with you? 12. Is this child applying with you?
Child 3 [new sub-section heading] 13.a. Family NameLast Name) 13.b. Given Name (First Name) 13.c. Middle Name
14. Date of Birth (mm/dd/yyyy) 15. Alien Registration Number (A-number) (if any)
16.a Street Number and Name 16.b. Apt __Ste. __ Flr __ 16.c. City or Town 16.d. State or Province 16.e. Zip Code or Postal Code
17. Is child living with you? 18. Is this child applying with you?
Child 4 [new sub-section heading] 19.a. Family Name (Last Name) 19.b. Given Name (First Name) 19.c. Middle Name
20. Date of Birth (mm/dd/yyyy) 21. Alien Registration Number (A-number) (if any)
22.a Street Number and Name 22.b. Apt __Ste. __ Flr __ 22.c. City or Town 22.d. State or Province 22.e. Zip Code or Postal Code
23. Is child living with you? 24. Is this child applying with you?
Child 5 [new sub-section heading] 25.a. Family Name (Last Name) 25.b. Given Name (First Name) 25.c. Middle Name
26. Date of Birth (mm/dd/yyyy) 27. Alien Registration Number (A-number) (if any)
28.a Street Number and Name 28.b. Apt __ Ste. __ Flr __ 28.c. City or Town 28.d. State or Province 28.e. Zip Code or Postal Code
29. Is child living with you? 30. Is this child applying with you?
|
Page 2 Part 6. Accommodations for Individuals With Disabilities and Impairments |
(Read the information in the instructions before completing this section.)
I am requesting an accommodation: ***
If you answered “Yes,” check any applicable box. Provide….
Deaf or hard of hearing…
Blind or sight-impaired…
Other type of disability… |
Page 4, Part 5. Accommodations for Individuals With Disabilities and Impairments (Read the information in the instructions before completing this section.)
I am requesting an accommodation:
*** If you answered “Yes,” check any applicable box. Provide….
4.a. Deaf or hard of hearing…
4.b. Blind or sight-impaired…
4.c. Other type of disability… |
Page 3
|
Part 7. Signature (Read the information on penalties on Page xx of the instructions before completing this section. If you checked Block 1.a. in Part 2, your spouse must also sign below)
I certify, under penalty of perjury…
Signature
Print Name
Date (mm/dd/yyyy)
Signature of Spouse
Print Name
Date (mm/dd/yyyy)
|
Page 5, Part 6. Signature (Read the information on penalties in the instructions before completing this section. If you checked Block 1.a. in Part 2, your spouse must also sign below. Signature of a conditional resident child under the age of 14 is not required; a parent may sign for the child).
I certify under penalty of perjury…
Signature of Conditional Resident
1.a. Signature of Conditional Resident
1.b. Printed Name of Conditional Resident
2. Date of Signature (mm/dd/yyyy)
Signature of Spouse or Individual Listed in Part 3 (if applicable)
3.a. Signature of Spouse
3.b. Printed Name of Spouse
4. Date of Signature (mm/dd/yyyy) |
Page
3, |
Signature of Person Preparing Form, If Other than Above I declare…
Signature
Print Name
Date (mm/dd/yyyy)
Firm Name and Address
Daytime Phone Number (Area/Country Code)
E-Mail Address (if any) |
Page 5, Part 7. Signature and Contact Information of Person Preparing Form, If Other Than Above I declare…
1.Signature of Preparer
2.Date of Signature (mm/dd/yyyy)
Preparer’s Full Name (in screened box)
3.a. Preparer’s Family Name (Last Name)
3.b. Preparer’s Given Name (First Name)
4. Preparer’s Business or Organization Name
Preparer’s Mailing Address
5.a. Street Number and Name
5.b. Apt __ Ste. __ Flr__
5.c. City or Town
5.d. State
5.e. Zip Code
Preparer’s Contact Information
6. Daytime Phone Number
7. E-mail Address (if any) |
File Type | application/msword |
File Title | Table of Changes |
Author | rmlee |
Last Modified By | Ramsay, John R |
File Modified | 2013-01-29 |
File Created | 2013-01-29 |